摘要
目的探讨急诊胸腹创伤手术后切口感染的病原菌分布和相关因素。方法应用回顾性调查研究方法对急诊科2008年5月-2012年5月实行急诊胸腹创伤手术372例进行分析。结果急诊胸腹创伤手术后切口感染与切口类型、手术时间、抗菌药物使用、损伤类型及部位、有无其他部位损伤等因素有关;术后切口感染以革兰阴性菌为主,占57.14%;所有病原菌中,以金黄色葡萄球菌、大肠埃希菌和铜绿假单胞菌为主,均占19.05%。结论切口类型、手术时间、抗菌药物使用、损伤类型及部位、有无其他部位损伤等是急诊胸腹创伤手术后切口的易感因素;应采取对应措施控制感染发生。
OBJECTIVE To investigate the pathogen distribution and the related factors for incision infections after emergency thoracic and abdominal surgery. METHODS A total of 372 patients with thoracic and abdominal trauma in May 2008- May 2012 were investigated retrospectively. RESULTS The factors relating to the emergency thoracic and abdominal surgery wound infection included the type of incision, operation duration, use of antibacterial drugs, injury types and locations, and other site injuries. Gram-negative bacteria were predominant pathogens causing postoperative incision infections, accounting for 57.14 %. Among all pathogens, Staphylococ- cus aureus accounted for 19. 05%, Escherichia coli accounted for 19. 05%, and Pseudomonas aeruginosa accounted for 19.05~. CONCLUSION The related factors for emergency thoracic and abdominal surgery wound infection include the type of incision, operation duration, use of antibacterial drugs, injury types and locations, and other site injuries; it is necessary to take the correspondin; measures to Prevent and control the infections.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2012年第16期3526-3528,共3页
Chinese Journal of Nosocomiology
关键词
急诊
胸腹部
创伤
手术
切口感染
Emergency
Thoracic and abdominal site
Trauma
Surgery
Incision infection
